| NPI | 1962230870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEVENS Owner 248-824-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2025-03-18 |